Individual
BENITA KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
135 HOOD RD, GREENVILLE, SC 29611-7519
(864) 269-1821
Mailing address
143 RED MAPLE CIR, EASLEY, SC 29642-7749
(864) 918-7039
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
54225
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0401
—
SC
Enumeration date
04/10/2015
Last updated
04/10/2015
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